Red Mill Pediatric Dentistry, Pllc
NPI #1023568995 in Virginia Beach, Virginia
Provider Information
- NPI Number
- 1023568995
- Entity Type
- Organization
- Organization Name
- Red Mill Pediatric Dentistry, Pllc
- Primary Specialty
- Dentist - Pediatric Dentistry
- Enumeration Date
- Oct 4, 2016
- Last Updated
- Oct 10, 2024
Practice Location
- Address
- 2336 ELSON GREEN AVE STE 101
- City
- Virginia Beach
- State
- Virginia
- ZIP Code
- 23456-6939
- Phone
- (757) 301-2064
Authorized Official
- Name
- GRACE O DAVIS
- Title
- BUSINESS ADMINISTRATOR
- Phone
- (757) 369-1754
Specialties & Taxonomy Codes
| Specialty |
|---|
| Dentist - Orthodontics and Dentofacial Orthopedics — Orthodontics and Dentofacial Orthopedics |
| Dentist - Pediatric Dentistry — Pediatric Dentistry |
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